Individual provider Active NPI

Mandeep Raina

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1417028226
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-026208 Issued in IL
Practice address
2323 Naperville Rd.
Suite 110
Naperville, IL 60563
Phone
(630) 381-4021
NPI assigned
Nov 13, 2006
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-026208 IL Primary

Addresses

Primary practice location

2323 Naperville Rd.
Suite 110
Naperville, IL 60563

Mailing address

2323 Naperville Rd.
Suite 110
Naperville, IL 60563
Phone (630) 381-4021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160531001498 IL Order and Referring Only - DentistPractitioner - Dentist 9032409222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-026208ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Raina Dental Care PC CurrentSince Nov 24, 2024 Accepting new patients
Rainadentalcare Current Accepting new patients

Locations

2323 Naperville Rd
Ste 110
Naperville, IL 60563
Phone (630) 381-4021

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1417028226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 NAPERVILLE RD.",
            "address_2": "SUITE 110",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60563",
            "telephone_number": "630-381-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 NAPERVILLE RD.",
            "address_2": "SUITE 110",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60563",
            "telephone_number": "630-381-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINA",
        "first_name": "MANDEEP",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-026208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.